一个基于在线小组的内部家庭系统干预的试点研究,用于并发性创伤后应激障碍和物质使用
Dilara Ally1,2, Laure Tobiasz-Veltz1, Kevin Tu1
1Department of Psychiatry, Cambridge Health Alliance, Cambridge, MA, United States.
Frontiers in psychiatry
|April 11, 2025
概括
一个在线的内部家庭系统 (IFS) 干预,PARTS-SUD,被证明是可行的和可接受的治疗并发性创伤后应激障碍 (PTSD) 和物质使用障碍 (SUD). 该研究显示,PTSD症状和渴望显著减少,支持进一步的研究.
科学领域:
- 精神病学和行为科学
- 数字健康干预措施 数字健康干预措施
- 成 药物 药物 药物 药物
背景情况:
- 伴并发性创伤后应激障碍 (PTSD) 和物质使用障碍 (SUD) 带来了复杂的挑战,有效干预措施有限,耗尽率高.
- 现有治疗方法通常显示出最小的疗效差异,需要探索可访问和可接受的治疗方式.
- 虚拟治疗选择对于确保与PTSD和SUD同时发生的患者提供适当和个性化的护理至关重要.
研究的目的:
- 为了检查基于内部家庭系统 (IFS) 的在线干预措施的可接受性和可行性,为缓解和减少创伤,压力和物质使用 (PARTS-SUD) 计划.
- 探索初步的临床结果,包括PTSD症状严重程度和渴望,在患有并发性PTSD和SUD的个体.
- 评估数字心理健康解决方案在社区环境中全身护理的潜力.
主要方法:
- 一项单臂试点研究涉及十名被诊断患有并发性PTSD和SUD的成年人.
- 参与者参加了每周12次在线小组会议和6次个人咨询会议.
- 收集的数据包括可接受性评级,推意愿,参与者保留,PTSD症状严重程度 (PCL-5) 和渴望得分.
主要成果:
- PARTS-SUD干预表明了高的可接受性 (平均86%) 和愿意转诊 (平均92%),70%的参与者在12周内留住了参与者.
- 观察到PTSD症状严重程度的显著降低 (1.7分/周,p=0.002),其中54%的人实现了最小重要的差异.
- 渴望尺度得分也显著下降 (0.25分/周,p=0.014),表明了积极的临床影响.
结论:
- 在线IFS干预 (PARTS-SUD) 是一个可行的和可接受的治疗对个人伴随性PTSD和SUD在社区心理健康设置.
- 观察到的PTSD症状和渴望的减少表明了这种数字方法的潜在有效性.
- 通过大规模随机对照试验与多样化的人口进行进一步的调查是有必要的,以证实这些发现.
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